‘NW 88326

Assassination Records Review Board
Final Determination Notification

AGENCY : HSCA
RECORD NUMBER : 180-10068-10317
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER : .

December 8, 1995
Status of Document: Postponed in Part

Number of releases of previously postponed information: 10

Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual. |

Number of Postponements: 5

Postponements: All the postponements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of

_privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

Dochd:37243203 Page 1

1
|

AGENCY
RECORD NUMBER

RECORDS SERIES

JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
AGENCY INFORMATION

: HSCA .
: 180-10068=-10317

STAFF PAYROLL RECORDS

ORIGINATOR
FROM

TO

TITLE

DATE

PAGES

SUBJECTS

/29/76

HSCA, ADMINISTRATION

BROWN, CLAIRE, L.

DOCUMENT TYPE
CLASSIFICATION
RESTRICTIONS
CURRENT STATUS

DATE OF LAST REVIEW

OPENING CRITERIA

COMMENTS
Box #:1.

PRINTED FORM

ee @6¢ e8 8@ 8

U
3
P
0

7/07/93

Date:08/20/93
Page:1

| NW 88326
| Dochd:32243283 Page 7


a

BREN

BRo WH C4, a OFFICE OF THE CLERK

NGF Employes US. HOUSE OF REPRESENTATIVES ©) atanee erouaue

| | Be L477. ae ear eee er

an Cc rr ete, YEAR

“ANNUAL LEAVE | |
DATE OF APPOINTMENT CATEGORY .. +.

VA-2G92°AG 10.

ne PRIOR FEDERAL SERVICE 1S 0]

acne ecm no anemone tien ; .
Fivone Number 9 7
sone — Position Title

nee [een te mente Plea tenreeeeeee 8 ato a ACCRU AVAILABLE” usen {BALANCE
“Hesition Number © bevel Step LL Nears . Months J THIS MONTH “THIS MONTH THIS MONTH AT CLOSE

, oe, . _ OF MONTH
=e __ DAY OF MONTH a Vipnnat | Sick | Anmvat | sick | Annual

9 [10]; 11 taf 15 16 T7Tis W9T 26 ar] eel 2: F 2s 31| Leave eave ( Leave

Feb.

FORWAFUD FROM

sates -—-— a - PERSONAL LEAVE RECORD Cs A RREREBING

YEAR

EMPLOYEE
INITIALS

== 0.5 day annual leave —_ - *, a oy oo . - : - : - . oe ‘CERTIFIED CORRECT: ;
= 10 day annual leave , : a : _ , ; ; ;

bee.
(7 : = 0.5
CS]
ica

day sick leave © ws

°
aa

= 1.0 day sick leave me, ea a, Employee's Signature 7 Date _ Chief's Signature = Date
; ae oo oo Ue employee refuses to sign, state reason below.) ; ‘ : ; re
= 0.5 day administrative leave i ; — oo, . Sohne

day administrative leave wh oo _ _ ts Approved: oe a
- : . ; ; ; oe . eo ; _ Clerk of the House . . J Date
= 0.5 day unauthorized absence ‘

This, record v will be forwarded to the Clerk of the House at the end of each calendar year, or in case of termination,

me 0.5 day leave without pay

me = 1.0 day leave without pay - : fan oe a EXHIBIT r

5 1.0 day unauthorized absence. — : , ao ; “with the request tor termination. » Upon approval the record will be filed in the employee's official personnel folder.

along

wrcwiratacrsnen(” Pio


a ve |

_ ¢, CLAIRE ET BROWN” (703) 379-1379 | | i

~ . 5021 Seminary Road, #1ite — a ae }
Alexandria, ‘Virginia 22311 | Voting Residence: peor ese }

CAREER OBJECTIVE | _ /

| | ‘ - _ i

To develop and improve communication, understanding, programing, and/or policy |

between the Federal Government and State and local agencies and associations.

-EXPERTENCE SUMMARY a ve

e® Extensive experience evaluating and interpreting Federal education legislation 4
and regulations to determine the impact on State and local educational agencies. | \

® Congressional and Executive liaison to Senate, House, and education associations —
responsible for analyzing and evaluating legislation and Federal regulations.

@ Related experience in curriculum planning and educational research and in library

and education programming on the local, State, and Federal level.

@ Reviewed with education association executives, the impact of pending legislation
on their interest group. .

_@ Five years experience as a public school librarian and teacher.

~ EDUCATION

Henry Grady High School, Atlanta, Georgia, 1965.
B.S., Ohio State University, 1969. (Education) a
M.S., Boston University, 1970. (Library Science) (Audio-Visual Education) oe co

_* PROFESSIONAL EXPERTENCE : OS a \

PROGRAM ASSISTANT, Office of Librariés and Learning Resources, U.S. Office of Ed.,
| Washington, D.C. Researched and analyzed completion reports, compiled statistical
i. information, and wrote a comprehensive national summary of public library con- Ne
| .struction from Federal funds. (1976) os -
LIBRARIAN, Office of Career Education, U.S. Office of Education, Wash., D.C.
Implemented a resource center of available career education materials from all
over the U.S. Wrote annotated bibliographies of specialized materials on women
and on the mentally and physically handicapped. (1976) .

: CONSULTANT , D.A. Lewis Associates, Inc., Clinton, Maryland. Researched, wrote,
and developed contract proposals in response to U.S. Gov't. R.F.P.'s, particularly .... |
in library and Indian education programs. (1976)

ADMINISTRATIVE ASSISTANT, Committee for Full Funding of Education Programs,
Washington, D.C. Served as principal personal assistant to the Exec. Dir. and .

worked with him in.all phases of the operation. Worked as liaison with Executive ae
and Legislative branches of government for other groups interested in educational | |
funding (public schools, universities, libraries, handicapped, etc.) to coordinate a po
_ an effort for full funding of education programs on a Federal level. Initiated SY
_ legislative communications (phone § letter) to inform members and association
executives of pending bills. Attended hearings and meetings, reviewed and analyzed — |
Congressional Records and Federal Registers, and managed the financial records of ° |
‘the Committee. Collected and organized bills, reports, and background materials on.
pending education appropriations and budget legislation. (1975)

o oe : a ae
| Nw 88326 ee a
| Docid:32243283 Page 4 : _— ;

| . .. CLAIRE L. BROWN a | PAGE 2

- LANDLORD- TENANT INVESTIGATOR, City of Alexandria, Alexandria, Virginia.

Served as liaison between Tandlords and tenants in disputes, and as an authority
on Virginia housing regulations. Achieved recognition for outstanding negoti-

ations between a tenant and the Virginia Power Co. (VEPCO). Resolved problems

_ dealing with rent increases, utility bills, and the absence of: landlord-tenant

_contract- provided services. (1975)

" STAFF ASSISTANT, Senator Herman Talmadge (Ga. , Washington, D.C. Helped to edit
‘the final volume of the Watergate Report, and assisted with bookkeeping concerns
on the Watergate Committee. Drafted legislative correspondence for the Senate
Agriculture ‘Committee in response to constituent requests. (1974) .

ASSISTANT: LEGISLATIVE AIDE G CASEWORKER, Congressman Gus Yatron (Pa.), Wash.,

problems with social security and: ‘black lung disability benefits. (1974) ©

SCHOOL LIBRARIAN, DeKalb County School System, Decatur, Georgia. Achieved
recognition both locally and system-wide for implement ing the "open-library"

concept in media centers. Responsible for all reference, acquisitions, cataloging,
and processing of materials. Member of curriculum planning committees for all
subjects, grades 1-7 and planned course curriculum content for library training.
Supervised, managed, and trained a large staff, analyzed school and community
needs, and held budget conferences with administrators. Designed and implemented
all policies within the library, prepared bibliographies, and conducted special
research projects for the principal and led seminars for librarians. (1970- 1974)

GRADUATE ASSISTANT, to the Associate Dean for Undergraduate Studies, School of
Education, Boston Universit , Boston, Mass. Collected and organized statistical
data used in evaluating various programs at the University, drafted and edited
documents, and served as coordinator for public relations activities in relation
to the University's centennial celebration. (1969-1970)

_ TEACHER, Columbus Public School System, Columbus, Ohio. Taught all subjects in
the inner-city to low-income 2nd/3rd graders. Worked with different Federal low-

income programs and officials, inchuding ESEA, Title I, and Headstart. (1969)

ASSOCIATIONS AND HONORS

Georgia Association of Educators
_ American Library. Association
Pi Lambda Theta, National Education Honor Society
Dean's List
Alumi Associations of Ohio State and Boston Universities
Member and active participant in the Smithsonian Institute and the Kemedy Center

HOBBIES. AND INTERESTS

‘Travel, “Current Events, , Photography, ‘Guitar, ‘and d Reading .

ne _ Leena + saeenaneenannenneetncntaecnenne etc pe ae camaecend

References upon request

| Docld:32243283 Page 5 . . 7 .

Investigated and responded to constituent concerns in legislation, and to their a

i ann nn
| hw es326 ee nee ee

|» ROUIS STOXES, OHIO, CHAIRMAN
“picHiARDSoN PREVER, NAC. SAMUEL L. DEVINE; OHIO
WAETER EZ. FAUNTROY, 0.C. STEWART O. aC KINNEY, CONN.
Q YVONNESBRATHWAITE ‘BURKE, CALIF. CHARLES TMONE, NEDF. . 4 . . : :
oe CHriSTOPHER 3, DOOD, CONN. -HAROLD S. SAWYER, MICH. :
. of Ly ° JENN. .
FLOYD J FIFHIAN, IND. _ Select € Committee on : Assassinations

UROBERTLW. EOGAR, PA.

GS. Wouse of Representatives oe
3331 HOUSE OFFICE BUILDING, ANNEX 2
WASHINGTON, D.C. 20515 |

(202) 225-4624

- Bugust 23, 1977

Ge Robert Blakey, Chief Counsel and Director.
“House Select Committee on Assassinations
- 3342 House Office Building, Annex 2
Washington, ‘OD. Cc. 20515

Dear Professor. Blakey:

Pursuant to our conversation of yesterday, :
August 22, 1977, and my subsequent conversation with
Donovan L. Gay, Chief Researcher, of August 23, 1977,.—
.I hereby tender my resignation with the House Select .
Committee on Assassinations effective September 20,
1977. 7

I have ‘enjoyed my “work at the Committee and I
hope that my research as well as that of others will
aid in finding the truth and in bringing | a satisfying -
end to these investigations. oo.

Sincerely

Clase x Broun

‘Claire L. Brown. .

| Docid:32243283 Page 6

we No

PAYROLL: A AUTHORIZATION FORM = 8

» Please ‘Use: Typewriter Ue . “HOUSE OF: REPRESENTATIVES com (Any. erasures,..corrections, or changes :-

mo oe -on: this form must be. initiated by. the.
“or Ballpoint: Pen) - ~ Washington,-D.C.°20515:: - authorizing official:) ©

_ To:the Clerk‘of the House of Representatives: EOE OMSL S A eM ie Teor

. Lhereby authorize the following payroll action."

~ _ Employee: Name (First-Middle- Last) chee : Be sade ~ Effective: Date
Claire iL. Brown . 9/20/77 |

Employee Social “Security Number Top syep nn ns Fe open cow Type of Action
258 72 6151

C1 Appointment

“Employing Office or Committee (|: [1 Salary Adjustment sss

. ‘Assess trac tons _ {&] Termination-(At close of business 0 on. effective. date) .

Researcher | 7 : $15,006

(If Committee. Employee; complete appropriate item: below:)--. .o0c akenr tots eon kan Ate
1.1] Standing Committee: Staff—[_] Clerical or f]-Professional:.
465 of 98th,

2. Fl "| Special: or Select Committee: Authority H. Res..
3. LJ Joint Committee. |

(If Employee of an:Officer of the House, complete. item below.)-

~~ Position Number -___._..__.If applicable, Level _-

“ (Type or print nome of Authorizing Official)

“s Chad rman

TTT i Member, Diictand Stole) “

. All appointments and salary. adjustments for employees under the House Classification. Act. and for.Committee em-.

; ployees,. except. those. of the Committee-on Appropriations; the Committee: on. the Budget, and the Joint Committees, ‘must’
be approved. by the Committee on- House Administration. re :

Chairman, Committee on House Administration

APPROVED:

Office of Finance use. only: -

Office Code

Copy for initiating: Office or Committee. -.

TT Se tet eee cee

‘| NW 88326 ee .

| Docld:32243283 Page 7 : ee !

lf type: of action is-an Appointment or Salary Adjustment, complete the following. information). 2... cco Ae ce

Position Title = SSS« Sr Anmual Salary |

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|

PAYROLL AUTHORIZATION FORM -

! ‘(Please Use Typewriter. - U.S. HOUSE OF REPRESENTATIVES ~~ (Any erasures, corrections, or ctianges®
i ; or Ballpoint Pen) — Washington, D.C: 20515°  - > :on this form must be initialed by the .
|

authorizing official.)

-To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Employee Name (First-Middle-Last) es ...._ Effective Date

Ciaire 1. Brown .
>. Employee Social Security Number
258 72 615)

Employing Office or Committee - EXSolary Adjustment

Type of Action |

L] Appointment

] Termination (At close of business on effective date)

te Assassinations

(If type of action is an Appointment or Salary Adjustment, complete the following information.) ~

Position Title —_. _ ; ; 7 ~ Gross Annual Salary - ;

$15,900

. (If Committee Employee, complete appropriate item below.)

1: [J Standing Committee: Staff—[_} Clerical or [] Professional.
2. [4] Special or Select Committee: Authority—H. Res, 465_ of 95th Congress.:

‘ ra ws at ‘. a ra aa ce ene be sae i tt fe ge pe dail: Tig le wba. eee eee sa Powe |
eT cet_ Seles ROO R ESSCAORE OAS WORN TRCRLE SORPES TRO RE WOOT Sere ERS DUE BOSS PREP ION TE MENS OSCE UTERINE WOOP SCRE REC AEN STE EM SOIT SUNN TE RORY PETRUS SINEE NU! IATL TS ESRI IE ATRCE NCTE PC PTE RE Eta

3. [_] Joint Committee.
(If Employee of an:Officer-of the-House,’complete.item below.) : 4.
Position Number__.._ - __If applicable, Level_ oo. Step_. 4
oo certify: that: this. authorization. is~-not- in--violation: of 5” U.S.C. °3110(b), prohibiting: the: employment ‘of. a
relatives, :
Dote May 10. 1917 oe _ eee 4
# ae —*~ ge “(Signature « of Authorizing ng Ollie : . 4
fo we . 4
_sbuis Stokes ee 4
a type or print name of Authorizing Official) Ceol
| 2 hakrman ee
ee | pO nnn svat nt

-:All_appointments:..and:salary adjustments for ‘employees: under. the House Classification Aét and. for Gormmittee -ém= - 5
: ‘playeess except thosexof-the Committee ‘on. Appropriations; the’ ‘Committee ‘on the’ Budget, Land | the Joint: ‘Committees; ‘miust*® :
be approved ‘by: the: Committee-on>House Administrations * ee ct Jee 8 STE REM te ey j

~- APPROVED:

Charman, Committee on House Administration =

‘Office of Finance use only:

Office Code _-

we Lhe ee tte a ge lot a Beene So,
Facil toby bbli le vat elds oo Da ba tes Bela ee ate

f

| NW 88326 | ae meee
| Docld:32243283 Page 8 a .

i
|


PAYROLL AUTHORIZATION ‘FORM = Fg
ho ‘(Please Use-Typewriter . *.” ‘U:S. HOUSE. OF REPRESENTATIVES - —_ (Any erasures, ost be intated by the vs
a . . -_ a, on this form mus y a
| 7 * or Ballpoint Pen) - + + Washington, D.C. 20515: | authorizing official.) - 4
| ; J
| To the Clerk of the House of Representatives: 4

| hereby authorize the following payroll action: - ;
4

Employee Name (First- Middle-Last) - fe a _ Effective Date - - |

‘Claire L. Brown AJV/77 :

- Employee Social Security Number. Type of Action. 7 F

288 72 615} . LJ Appointment 4

Employing Office or Committee | GH Solary Adjustment

[1] Termination (At close of business on effective date}

. Assassinations

(If type of action is an Appointment or Salary Adjustment, complete the following information.)

_ Position Title so Gross Annual Salary

(If Committee. Employee, complete appropriate item below.)

1. [J Standing Committee: Staff—[J Clerical or‘[_] Professional.

'
see Me ace cea Hale antenatal tal abies coed ON

- 2. LkSpecial or Select Committee: Authority—H. Res. 465:___of 95% Congress.

3. C] Joint Committee.

ele devcithtutitbeilt STi soit aa

. (If Employee of an Officer of the House; complete item below.) -

IF applicable, Level. Step___-

Sea ainda?

Position Number , If applicable, Level _.

| certify that this authorization..is not in violation of 5 USC, ie NOB) } Prohibiting the employment. of
relatives. = .

Vt ae ee ee te ee ee eee et

"Signature of Authorizing Official)

“ae Louis Stokes

a (Type or print name of Authorizing Official)

chairman be _

(Title - If Member, District and State) -

WM nner Matha aoe aban eadle She ded ne a rele thas

_All. appointments. and salary. adjustments-for employees. under. the House. Classification. Act and for Committee: em-

+ ployees, except those .of the Committee on-Appropriations; the Committee on-the: Budget, and the Joint. Committees; must <-> 7
be approved by the Committee on House Administration... . -- os cos

APPROVED: _

’ Chairman, ‘Committee on House Administration

Office of Finance use.only: -

sage tat _ “et . a ve - Te ad sphs Mere
arabe a Lad ti leet inact os aban

Office Code

4

beh . - Copy for Initiating Office or Committee... 65 vee we : {

a ee 7 ce en ee oo . Be _ eee
NW 88326 | ee

| Docld:32243283 Page 9

PAYROLL AUTHORIZATION FORM :
(Please Use Typewriter ~4__ U: S. HOUSE: OF: REPRESENTATIVES. = “(Any erasures, corrections, or changes

on this form: must *be~ ‘initialed. by: ‘the ~
or Ballpoint Pen) ; _ Washington, D.C. 20515 . authorizing official.) ° |
} _

- To the Clerk of the House of Representatives:
| hereby authorize the following payroll action: . J!

Employee Name (First-Middle-Last) , = _ Effective Date

U2s7F

Type of Action

C Appointment

ia Salary Adjustment “

L] Termination (At close of business on effective date) |

fa

Position Title

Aa

_(If-Committee Employee, complete appropriate item below.) —

1. (1 Standing Committee: Staff—[_] Clerical off] Professional. - ~

2. a Special or Select Committee: Authority~| H. Res,_!! of S288 Congress. (

3. [-] Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Step__.

Position Number :__If applicable, Level

relatives.-

_

\ ~ ap ty

a . — (Type or print name of Authorizing Official)’

to
1 GAR behAN -

All appointments and salary adjustments for employees under the House Classification Act and for Committee’em- -

ployees, except those of the Committee-on Appropriations, the Committee on the Budget, andthe Joint Committees, must

be approved by the Committee on House Administration.
. é

. Chairman, Commitios 6n House Administration

APPROVED: y

| Office of Finance use only:

Office Code

| certify- that . this. authorization. is not in violation of 5 U.S:C. -3110(b), prohibiting . the ‘employment of -

Semen nt aie nt sett Reeser me ehaneerenene fermsitneent nse heme

W 86326 oe wee
Wi:37243203 Page 10 ‘

me Ne

“DUCB. 146

Rev. 8/71 y a we | DISTRICT UNEMPLOYMENT COMPENSATION BOARD — 3 we umn. “ xa - . :
= — : —_ __MAIL CLAIM
8. S.No. Claimant's Name

PART ONE

“For the calendar week shown above: — . ol. oe ; ae Ke 7
a. I was available for and actively seeking work _..__--------------+-----------2- (“) Yes - ( )No
b. I was physically able to work nnn eee een ae (LY Yes -¢€ Now.
c. I claimed or was receiving education, training or subsistence allowance —_. ee ao oe
from the Veterans Administration eo (- ) Yes . ( {A No
: . d. I claimed or was receiving unemployment insurance benefits under another. -. ©. : - An is
' Federal or State Law ~-------- +--+ 32-84 2 ns 8 oe ( ) Yes =-(t4 No |
_ e. I claimed or was receiving a retirement pension or annuity ~--------~.------_-- ( ) Yes (2) No. :
-{. I was totally unemployed --___..--------------------- Bote (.)¥es (%7No 0 4
(If your snsngr Co item (f) is “Yes,” do not complete item (g) below.) ce 3 2 Qo. co , ; .. Lon
“ g. I worked ( -*) full time ( ) part time and earned, before deductions, $__t } oo: OY an — . ney
“This claim is filed by mail because: oa . , 7 : |
: y 0 ~ * AG Th ae
sa. I became employed. Date of employment - La oo at alee a Os
_ Employer's Name. VA 6, Nov senf £ ca x ese nh he a Seed Las UIA’ ER IE Sant AAS
Employer's Address Sta LO ke B 62. LA ae Shon avian ina Lp Dp. Co
b. Other than employment. Reason eee eet ne Oe ee snare

ee ae en ce ae ee ee ay mc ee a ee ee a ee ee ee a ne et ee eee ee ne ae ee ce et Se ee Gr me ys erm nt me A ee

oe : IMPORTANT: If you started to work during the calendar week claimed in item 1, you must have > your employer com- - .
plete Part Two below. oe

ie “éiti fy the above statements are true. y am aware that the law imposes penalties for false statements made in connec- 2
“tion with this claim. . |

22K te Sahat! _ _ 8 <0) LS arnt rence Rie Alesandia tafe Men Wal 1 _

Claimant’s Signature Address 4) 2 7 )

in 7 | |. PART TWO

LOW EARNINGS REPORT—To be completed by the employer and delivered
to the claimant at his request.

1. During the CALENDAR WEEK beginning SUNDAY -.---Dec..26, 197 6 and ending .

“SATURDAY ___-_-- Jan. 1, 1977.8 (NOT your payroll week, if different), -_
|... © this employee worked g] FULL TIME . [) PART TIME

2. His gross earnings payable before deductions, which include tips, cash value of meals, lodgings, and all other remunera- .

tion for that week were $.83-33 _ a oe _ .
= 3, If separated, enter date ~_-_________-_-_----_-- _....-.--+. Explain reason for separation wee
| ep epresentatives. -Select Committee on Assassina-
} tions
|... | Address Washington, D.C. J 4 0515. ;
CLE PTH SAN 2 1.1977... Rebecca We. Martin. 225- 2980.

Be (Signature of authorized official) (Person who may be contacted) a (Phone No.)

NWee 88326 | :
Docld:32243283 Page 11.

PAYROLL AUTHORIZATION FORM a | Pay |

a vw |

.(Please Use Typewriter We -U. S.. “HOUSE OF REPRESENTATIVES © — > (Any. ‘erasures, corrections, or changes

: re . Coes mo - on this :form- must: be: initialed - by the
or Ballpoint Pen) ~- on - - Washington, D.C: 20515 _ authorizing official.)

i 1
H
i
- ‘ j
i

. To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Type of Action

Salary Adjustment a

Termination (At close of business on effective date)

i
|
i
j
i
|
|
Appointment | |
; '
i
4
{
H
|
i
|
i
!
j
J
|

(If Committee Employee, complete appropriate item below.)

1. [.] Standing Committee: Staff—[_] Clerical or [_] Professional.

i
~ {
2.°F'] Special or Select Committee: Authority—H. Res. 2} of 28. Congress. |
.
. . . ~ . \ ;
J a - ©
3. |] Joint Committee. - :
_(if Employee of an Officer of the House, complete item below.) . . Af
if , , . _ i
, Position Number__.. ‘If applicable, ‘Level_ __ Step! S|
a:

~ XQ

| certify that this: authorization is not in violation of 5 U.S.C. .3110(b), prohibiting the employment of
_ relatives. aan ,

Date Vageapor 22° 198k . ak

All appointments:and salary adjustments for-employees under the House Classification Act and for Committee em-

ployees, except those of the Committee on Appropriations, the Committee on the -Budget,. and the. Joint Committees, must =
be approved by the Committee on House Administration. - ; : ; .

APPROVED: ; - os

Office of Finance use only: _

Office Code , . , | ; |

Copy for Initiating Office or Committee

' oN

| hw 88326 ree
| Docid:32243283 Page 12 :


T ee : . ce he tee eee

MEMORANDUM.

TO: all Staff Employees
FROM: ‘Budget Officer
DATE: January 3, 1977

CRE: ‘Payroll Certification

Starting with the January, 1977 , payroll, the certification

<to- the House Finance Office requires, among other things, the

~syelationship, if any, of each staff employee to any current oe

7 Member > of Congress" (those taking office January 3, —1977).

The ‘following are ‘the relationships to be included in

the certification:

“father a “nephew — oe ‘brother-in-law.

mother oe niece sister-in-law |
7 son. . a . . husband - stepfather

= daughter _ wife ~.- stepmother. |
“brother _. ¢° father-in-law —. . stepbrother ©. |
sister | a mother-in-law — stepsister |
uncle 2 2 son-in-law oo. half-brother |
aunt daughter-in-law half-sister |
first cousin . . | le a |

All staff - employees are “vequested to complete | ‘this
form and return it to the Budget officer.

~ Approved
_» Richard A. Sprague

TG em ee ee ee ee me ee ee ee ee ee ee ee ee ee err ee ee ne ee ee ene ee mee ee me ee ee mee ee ee ee ee ee ee oe ee ee ne me coe rue me pre men nig erm oy

oT am not related _

<r am related by the following relationship

NW 88326 poe

| Docld:32243283 Page 13

